our objective is to keep people at home in an environment they feel most comfortable with as opposed to an institution. i mentioned we produce 26% reignition rates. the goal there is to continue to encourage people to stay home and take care of them at home. that helps with the waste in that regard. ability to not have duplicative type after services are an example of that. someone overlooked in the whole individual house that observation is opposed to the silos. >> can we go back to medicare for a second? where is that waste and what have you seen as an organization, the waste being and how would you suggest that the tackle? >> the waste is across the platform. i think this week there was an article in the times about fraud and activities going on in that area. so fraud is a component of that. but for us as an organization, the largest waste is the lack of integrated care. what that means is duplication of services for people are in the wrong aspect of that. i sigh you shake your head come this way must not be answering your question. [inaudible] >> thank you for a talk which demons